基于互联网指导的痴迷强迫症认知行为疗法的长期有效性和成本效益:24个月的随访
Kazuki Matsumoto1,2, Sayo Hamatani2,3, Eiji Shimizu2,4
1Division of Clinical Psychology, Kagoshima University Medical and Dental Hospital, Research and Education Assembly Medical and Dental Sciences Area, Kagoshima University, Kagoshima-City, Kagoshima, Japan.
Internet interventions
|February 16, 2024
概括
基于互联网的指导性认知行为疗法 (ICBT) 有效地减少了长期强迫症 (OCD) 症状. 这种疗法也具有成本效益,可提供显著的缓解率和治疗后减轻症状.
科学领域:
- 精神病学是一个精神病学.
- 行为科学 行为科学
- 卫生经济学 卫生经济学
背景情况:
- 强迫症 (OCD) 需要有效和可获得的长期治疗选择.
- 基于互联网的认知行为疗法 (ICBT) 为强迫症管理提供了潜在的可扩展解决方案.
研究的目的:
- 评估基于互联网的辅导认知行为疗法 (ICBT) 对强迫症患者的长期有效性和成本效益.
- 评估症状严重程度,缓解率,并维持治疗后长达24个月的增长.
主要方法:
- 一项对25名强迫症患者的随访研究,这些患者完成了指导性ICBT,在6,12和24个月后进行评估.
- 使用耶鲁-布朗强迫症-强迫症量表 (Y-BOCS) 测量症状严重程度和缓解程度.
- 员工重复测量ANOVA和回归分析以求有效性,并计算增量成本效益比率 (ICER).
主要成果:
- 从基线到所有后续点的Y-BOCS得分显著下降 (p < 0.001).
- 强迫症缓解率从治疗后的48%增加到12个月后的80%和24个月后的76% (p < 0.01).
- 治疗后缓解预测了长期缓解;在日本,ICER低于支付意愿的门.
结论:
- 指导性ICBT在减少强迫症症状严重程度和改善缓解率方面表现出持续的有效性.
- 该疗法是一种成本效益高的干预措施,用于管理强迫症.
- 指导性ICBT提供了一种有价值的长期治疗选择,可以减轻强迫症的严重程度.
相关概念视频
Operant Conditioning Intervention
56
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
56
Obsessive-Compulsive Disorder
130
Obsessive-compulsive disorder (OCD) is a mental health condition characterized by recurrent obsessions, compulsions, or both, which consume significant time and interfere with daily functioning. Obsessions involve persistent, intrusive, and unwanted thoughts, images, or urges that evoke anxiety. Common examples include irrational fears of contamination or harm. Compulsions are repetitive behaviors or mental acts performed to reduce the anxiety caused by obsessions. For instance, individuals...
130
Cognitive Therapy
152
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
152
Rational Emotive Behavior Therapy
50
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
50
Behavior Therapy
49
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
49
Beck's Cognitive Therapy
51
Cognitive therapy is a psychological approach designed to address distortions in thinking, which can lead to negative emotions and unrealistic beliefs. These cognitive distortions often influence how individuals interpret and respond to situations, exacerbating emotional distress. Below are some prevalent cognitive distortions, their characteristics, and examples of how they manifest in thought processes.
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
51


